Terri L Mishler Psy D PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

811 Issued in OR

Legal business name

TERRI L MISHLER PSY D PC

Practice address

12725 SW Millikan Way
Suite 280
Beaverton, OR 97005-1678

Phone

(503) 526-2917

Fax

(503) 641-4558

NPI assigned

Feb 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terri Lynn Mishler, PSYD

Title

Owner

Phone

(503) 526-2917

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1104158112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY",
            "address_2": "SUITE 280",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051678",
            "telephone_number": "503-526-2917",
            "fax_number": "503-641-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY",
            "address_2": "SUITE 280",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051678",
            "telephone_number": "503-526-2917",
            "fax_number": "503-641-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI L MISHLER PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "MISHLER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-526-2917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.